Parentral Drug Administration

Question 1

How do you initiate the procedure?

Answer 1

1. gather equipment
2. introduce self
3. identify patient
4. explain procedure and gain consent - I will be giving you some (name) medication through your cannula, is this okay?
5. allergies?

Question 2

What equipment is required?

Answer 2

1. patient drug prescription chart
2. tray
3. sterile needles
4. appropriate syringes
5. 2x sodium chloride
6. 1x sterile water
7. medication (glucose)
8. clinell swab
9. gloves + apron
10. sharps bin
11. (cannula, in patient)

Question 3

How do you prepare the drug and the flushes?

Answer 3

1. check drug chart to establish drug, dose, time, date, route
2. clean hands, gloves, apron
3. check drug against chart, ensure its within expiry date
4. check name, dose, expiry date of diluents
5. draw up diluent with needle + syringe
6. remove cap from drug vial, clean with appropriate swab
7. inject diluent, release plunger with needle tip out of fluid
8. mix - hold carefully
9. inject air back into vial, invert, ensure needle in fluid and release plunger
10. remove syringe, discard needle + drug bottle in sharps bin
11. cap off syringe
12. prepare two saline flushes

Question 4

How do you administer a prepared drug?

Answer 4

1. take prepared equipment etc to patient
2. re-check identity of patient and the drug prescription chart
3. wipe injectable bung with clinell wipe and allow to dry naturally
4. flush cannula with saline (discomfort?)
5. inject drug via cannula slowly, observe patient, ask them to notify you of discomfort or allergy
6. flush cannula again with second saline flush

Question 5

How do you finish the procedure?

Answer 5

1. complete relevant details on patients drug chart
2. check patients welfare - ask them to inform staff etc esp of any specific symptoms of anaphylaxis (SOB, wheeze, itch, tongue swell)
3. remove apron and gloves
4. thank patient